How much rates vary
Facilitymedian $148 · 10th to 90th $25 to $525Professionalmedian $95 · 10th to 90th $79 to $191
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $83.18 Median $141.25 Typical High $309.03 | Facility | None | $83.18 | $141.25 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $61.66 | $61.66 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $162.18 | Professional | None (both parts) | $79.43 | $93.33 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $25.12 | $36.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $141.25 Typical High $239.88 | Professional | 50 · Both sides | $117.49 | $141.25 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $67.61 | $125.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $39.81 | $151.36 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $630.96 | Facility | None | $251.19 | $363.08 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $575.44 | Professional | None (both parts) | $87.10 | $109.65 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $72.44 | Professional | 26 · Professional part | $19.50 | $21.38 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $512.86 | Professional | TC · Technical part | $61.66 | $85.11 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $131.83 Typical High $371.54 | Facility | None | $85.11 | $131.83 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $125.89 | $158.49 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $31.62 | $57.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $120.23 | $128.82 | $190.55 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $74.13 | $125.89 | $186.21 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $26.30 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $100.00 | $147.91 |
Highmark BCBS Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $257.04 | Facility | None | $107.15 | $194.98 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $309.03 | Professional | None (both parts) | $95.50 | $95.50 | $309.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $36.31 | $46.77 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $128.82 | $169.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $213.80 | Professional | None (both parts) | $95.50 | $117.49 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $91.20 | $169.82 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $234.42 | Facility | None | $25.12 | $25.12 | $234.42 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $194.98 | Facility | TC · Technical part | $15.14 | $15.14 | $194.98 |
Univera Setting Professional Modifier None (both parts) Typical Low $74.13 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $74.13 | $125.89 | $186.21 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $26.30 | $39.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $100.00 | $147.91 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $69.18 | Professional | 52 · Reduced service | $41.69 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 53 · Discontinued | $16.60 | $16.60 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $112.20 | Professional | FX · Film X-ray | $66.07 | $66.07 | $112.20 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $97.72 Median $134.90 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $97.72 | $134.90 | $177.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $81.28 Typical High $131.83 | Professional | 53 · Discontinued | $64.57 | $81.28 | $131.83 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $97.72 Median $125.89 Typical High $177.83 | Professional | FY · Cassette-based X-ray | $97.72 | $125.89 | $177.83 |
Where New York sits
The same service costs 4.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 51st of 51
$95.50
AK $398NY $95.50
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.